Wille, Travis William
Wille, Travis William is an sole proprietor health care provider with primary practice located at 69 Lake St N Suite #100, Forest Lake MN 55025-2513. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wille, Travis William can be contacted via phone (651) 464-8065.Contact Information
Primary practice address
69 Lake St N Suite #100
Forest Lake MN 55025-2513
Phone: (651) 464-8065
Fax: (651) 464-5432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11552 | Minnesota |
Profile Details
| NPI number | 1609993278 |
|---|---|
| LBN Legal business name | Wille, Travis William |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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